Individual
MR. DIEGO CONSTANTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.M.T
Contact information
Practice address
108 OOTHCALOOGA ST, CALHOUN, GA 30701-2332
(706) 625-3585
Mailing address
620 JOHNSON LAKE RD SE, ADAIRSVILLE, GA 30103-3707
(706) 844-2142
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
12/08/2008
Last updated
12/08/2008
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